Organization · Type 2 NPI

Southeast Missouri Health Network

General Practice Dentistry · Kennett, MO

NPI number 1013229749 Active

Practice location

500 Russell St
Kennett, MO 63857-2102

Call (573) 888-3000 Map

Fax (573) 888-3003

Mailing address

420 Semo Dr, P.o. Box 400
New Madrid, MO 63869-1734

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

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About NPI 1013229749

Southeast Missouri Health Network's National Provider Identifier is 1013229749, issued on Jul 10, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kennett, MO. The record was last updated on Aug 6, 2014.